Proximally migrated pancreatic stent successfully removed using needle-knife and forceps: Complication after precut papillotomy assisted by pancreatic stenting

Hiroyuki Matsubayashi, Shohei Ooka, Hirokazu Kimura, Hiroaki Sawai, Naomi Kakushima, Masaki Tanaka, Michael Goggins, Hiroyuki Ono

Research output: Contribution to journalArticlepeer-review

Abstract

Pancreatic stent-assisted ampullary precut papillotomy is a rescue method for cases with difficult bile duct cannulation during endoscopic retrograde cholangiopancreatography (ERCP). We describe a case in which post-ERCP pancreatitis (PEP) developed due to the proximal migration of pancreatic stent, after precut papillotomy. Removal of the migrated pancreatic stent was achieved after needle-knife incision of the pancreatic duct's orifice followed by retrieval of the stent using rat-tooth forceps, which resulted in rapid resolution of the PEP. Caution is needed when pancreatic stent is placed after papillary incision. Needle-knife incision of the pancreatic duct orifice followed by forceps removal is an effective technique for rescuing pancreatic stent migration.

Original languageEnglish (US)
Pages (from-to)321-324
Number of pages4
JournalClinics and Research in Hepatology and Gastroenterology
Volume35
Issue number4
DOIs
StatePublished - Apr 1 2011

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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